Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KELLY A O'MALLEY PHD
NPI 1912551276
Psychologist - Clinical in Medway, MA

Q: What is Kelly O'malley's NPI number?

The NPI number for Kelly O'malley is 1912551276. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Q: What is Kelly O'malley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Kelly O'malley enrolled in Medicare?

No. Kelly O'malley has opted out of Medicare through October 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kelly O'malley was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 25, 2019Opted out of Medicare · through Oct 20, 2027

165 MAIN STREET, SUITE 203, MEDWAY, MA 02053(774) 573-0362 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 9, 2026, Jul 25, 2019 (2 updates tracked since 2019).

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About Dr. Kelly A O'malley Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY A O'MALLEY PHD (NPI 1912551276) is an individual clinical provider in Medway, Massachusetts, licensed in Massachusetts (11093) and active in the NPI registry since July 2019. She has opted out of Medicare through October 20, 2027 and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1912551276

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KELLY A O'MALLEYCredential: PHD

Location Address165 MAIN STREET, SUITE 203Medway, MA 02053

Mailing Address165 Main Street, Suite 203Medway, MA 02053 · (774) 573-0362

Phone(774) 573-0362

Sole ProprietorYes

Enumeration DateJuly 25, 2019

Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration

✔ NPI 1912551276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 11093

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

165 MAIN STREET, Medway, MA 02053

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Secondary Practice Location 1

Location 1150 S Huntington AveBoston, MA 02130-4817 · Phone (719) 534-3230

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Kelly A O'malley Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 20, 2025 through October 20, 2027.

Opt-Out Effective DateOctober 20, 2025

Opt-Out In Effect ThroughOctober 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RACHAEL COFFIN LMHC, LPC

Counselor (Mental Health)

165 MAIN STREET, SUITE 110
MEDWAY, MA 02053

Norfolk County (508) 533-4141

HANDS IN HEALING THERAPIES LLC

Clinic/Center (Physical Therapy)

165 MAIN STREET, SUITE 203
MEDWAY, MA 02053

Norfolk County (508) 321-7061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly O'malley's NPI number?

The NPI number for Kelly O'malley is 1912551276. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Where is Kelly O'malley located?

Kelly O'malley practices at 165 Main Street Suite 203, Medway, MA 02053. The listed phone number is (774) 573-0362.

What is Kelly O'malley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kelly O'malley enrolled in Medicare?

No. Kelly O'malley has opted out of Medicare through October 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kelly O'malley was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.